Browsing by Author "Gezu, Meaza (BSC, MPH)"

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    Compliance of health care professionals with hand hygiene practice and its associated factors among general hospital in Addis ababa, Ethiopia
    (2017-11) Ahmed, Ziyad; Gezu, Meaza (BSC, MPH)
    Introduction: Globally, a significant proportion of healthcare providers and patients acquire nosocomial infections. Failure to perform appropriate hand hygiene is considered to be the leading cause of health care acquired infection worldwide. In Addis Ababa, different report show that health care worker hand hygiene compliance was low in both public and private health care institution even though there were few detail studies done in this area Objectives: To describe compliance of health care professionals with hand hygiene practice and its associated factors among general hospital in Addis Ababa, Ethiopia, July 2017. Methodology: An institutional based cross-sectional study was conducted among general hospitals in Addis Ababa. Simple random sampling system was used to select participants. Seven hundred eight health care professionals were included in the study. Data was collected by 4 data collectors and 1 supervisor using pre-tested questionnaire after appropriate training. The data was entered into EPI data version 3.1, and then exported to SPSS version 22 for data management and analysis. Variable with p value <0.25 during the bivariate analysis were included in the multivariable logistic regression analysis. Result: A total of708 health care professional were included in the study and 651 of them filled self-administered questions with response rate of 91.9%. The overall good hand hygiene practice of health care professionals were 50.4%. Hand hygiene practice was reported high when health care professional feel or look dirty, and low before entering isolated room. The odds of hand hygiene practice of those master and above holders (AOR (95% of CI)) = 0.46 (0.258, 0.839) and those with first degree holders (AOR (95% of CI)) = 0.43 (0.230, 0.819) were less than diploma holders. Those with Good attitude toward hand hygiene (AOR (95% of CI) = 1.61 (1.087, 2.381), those who know functionality of infection prevention committee (AOR [95%CI]) =1.57(1.035, 2.376), those who said sink is functional (AOR (95% of CI)) = 2.26 (1.070, 4.792), those who reported running water is available (AOR (95% of CI)) = 1.86 (1.011, 3.432), those who reported hand hygiene guide line is available in the working area (AOR (95% of CI)) = 1.66 (1.134, 2.427) were more likely to practice hand hygiene compared with counterparts . Conclusions and recommendations: According to this study good hand hygiene practice is low. This show that patients and health care workers are at high risk of acquiring nosocomial infection .So government and management of the hospital must emphasis on patient safety.